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目的 :探讨患者在进行全髋关节置换术时取改良的侧卧位的临床效果。方法 :对2013年7月~2014年12月期间在我院进行全髋关节置换术的50例患者的临床资料进行回顾性研究。我们将这50例患者随机分为观察组和对照组,每组各有25例患者。在这两组患者进行全髋关节置换术时,我院让对照组患者取传统的侧卧位,让观察组患者取改良的侧卧位。手术结束后,比较两组患者体位摆放的用时、手术的用时、手术医生对患者体位摆放满意度的评分、麻醉医生对患者体位摆放满意度的评分、患者手术过程中舒适度的评分和手术并发症的发生率。结果 :观察组患者体位摆放的用时和手术的用时均明显短于对照组患者,二者相比差异具有显著性(P<0.05)。手术医生和麻醉医生对观察组患者体位摆放满意度的评分均明显高于对对照组患者体位摆放满意度的评分,观察组患者手术过程中舒适度的评分明显高于对照组患者,二者相比差异具有显著性(P<0.05)。观察组患者手术并发症的发生率明显低于对照组患者,二者相比差异具有显著性(P<0.05)。结论:患者在进行全髋关节置换术时取改良的侧卧位可有效地缩短其体位摆放的用时和手术的用时,提高手术医生和麻醉医生对其体位摆放的满意度以及其手术过程中的舒适度,降低其手术并发症的发生率。该手术体位值得在相关的手术中推广使用。
OBJECTIVE: To investigate the clinical outcomes of patients undergoing total hip arthroplasty in a modified lateral position. Methods: The clinical data of 50 patients undergoing total hip arthroplasty in our hospital from July 2013 to December 2014 were retrospectively studied. We randomly divided the 50 patients into observation and control groups, each with 25 patients in each group. In these two groups of patients undergoing total hip arthroplasty, our hospital let the control group of patients take the traditional lateral position, so that patients in the observation group to take a modified lateral position. After surgery, the two groups of patients were compared in terms of position, time of operation, surgeon’s satisfaction score on the position of the patient, score of the anesthesiologist’s satisfaction on the position of the patient, comfort score of the patient during the operation And the incidence of surgical complications. Results: The position and operation time of the observation group were significantly shorter than those of the control group, the difference was significant (P <0.05). Surgeons and anesthesiologists were significantly higher than those of the control group in their satisfaction with the position of patients in the observation group. The score of comfort during the operation of the observation group was significantly higher than that of the control group. Compared with the difference was significant (P <0.05). The incidence of surgical complications in the observation group was significantly lower than that in the control group, the difference was significant (P <0.05). CONCLUSIONS: Using a modified lateral position during total hip arthroplasty can effectively shorten the time-consuming and time-consuming operation of the body position and improve the satisfaction of surgeons and anesthesiologists for their position and their surgical procedures In the comfort, reduce the incidence of complications of surgery. The position of the surgery deserves to be used in the related surgery.